Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kristi Rose Lundgren, AGNP-C

Individual provider Nurse Practitioner · NPI 1922819853

Kristi Rose Lundgren, AGNP-C is a Nurse Practitioner in Saint Marys, Georgia. Qualified in 2025, 1 year ago. Practices with Cooperative Healthcare Services Inc, a 236-clinician group and accepts Medicare assignment. Licensed in Georgia and Michigan.

Years since qualifying
1
Licensed in
GA, MI
In the registry since
2025
Specialties on file
2

Practice location Address checks out

2040 Dan Proctor Dr Ste 210
Saint Marys, GA 31558-3801
Phone: (912) 576-6434
Fax: (912) 576-6487
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN-NP711834 (GA)
Nurse Practitioner Taxonomy 363L00000X · Licence 4704272346 (MI)

Record details

NPI number1922819853
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedJanuary 20, 2025
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Cooperative Healthcare Services Inc — 236 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saint Marys